| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,319 |
12,932 |
$745K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
10,298 |
9,908 |
$459K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,358 |
2,235 |
$193K |
| X5622 |
|
2,647 |
2,562 |
$150K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,889 |
4,723 |
$145K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,438 |
1,391 |
$95K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
3,421 |
3,105 |
$77K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
984 |
955 |
$61K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,151 |
1,106 |
$59K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
467 |
439 |
$57K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,604 |
1,536 |
$51K |
| 99188 |
|
3,576 |
3,444 |
$32K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,252 |
4,317 |
$28K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,098 |
1,062 |
$26K |
| 92551 |
|
4,361 |
4,250 |
$22K |
| 90461 |
|
1,848 |
1,765 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,724 |
1,694 |
$19K |
| 0240U |
|
134 |
128 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
239 |
230 |
$18K |
| 96127 |
|
3,525 |
3,405 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
210 |
198 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
210 |
198 |
$13K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
141 |
137 |
$12K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
108 |
105 |
$11K |
| 99173 |
|
4,514 |
4,404 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
298 |
288 |
$3K |
| 0072A |
|
72 |
72 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
127 |
122 |
$3K |
| 0071A |
|
68 |
67 |
$3K |
| 36416 |
|
916 |
867 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
33 |
27 |
$2K |
| 90480 |
|
103 |
103 |
$2K |
| 90686 |
|
2,491 |
2,440 |
$1K |
| 0002A |
|
60 |
59 |
$1K |
| 0124A |
|
30 |
30 |
$1K |
| 0001A |
|
51 |
51 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$711.48 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
85 |
82 |
$654.86 |
| 90785 |
|
43 |
31 |
$383.73 |
| 36415 |
Collection of venous blood by venipuncture |
39 |
37 |
$295.46 |
| 85018 |
|
133 |
126 |
$289.38 |
| 90651 |
|
80 |
80 |
$278.32 |
| 90656 |
|
268 |
267 |
$110.82 |
| 96161 |
|
45 |
38 |
$52.05 |
| 81003 |
|
12 |
12 |
$27.48 |
| 96160 |
|
4,403 |
4,208 |
$0.59 |
| 90670 |
|
241 |
224 |
$0.24 |
| 90633 |
|
63 |
61 |
$0.17 |
| 90647 |
|
98 |
88 |
$0.13 |
| 90723 |
|
116 |
108 |
$0.12 |
| 90677 |
|
46 |
41 |
$0.06 |
| 91321 |
|
55 |
55 |
$0.03 |
| 90734 |
|
27 |
26 |
$0.03 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
62 |
61 |
$0.00 |
| 91300 |
|
69 |
64 |
$0.00 |